II 

118TH CONGRESS 

2D SESSION S. 5194 

To amend the Internal Revenue Code of 1986 to expand eligibility for the 

refundable credit for coverage under a qualified health plan. 

IN THE SENATE OF THE UNITED STATES 

SEPTEMBER 25, 2024 

Mrs. SHAHEEN (for herself, Ms. BALDWIN, Mr. SCHUMER, Mr. WYDEN, Mr. 

REED, Mr. MERKLEY, Mr. BROWN, Mr. BLUMENTHAL, Mr. FETTERMAN, 

Ms. ROSEN, Mr. KAINE, Ms. KLOBUCHAR, Mrs. GILLIBRAND, Ms. 

SMITH, Mr. WHITEHOUSE, Mr. HICKENLOOPER, Ms. HIRONO, Mr. 

LUJA ́N, Mr. WELCH, Mr. BENNET, Ms. BUTLER, Mr. TESTER, Mr. VAN

HOLLEN, Mr. WARNER, Ms. WARREN, Mr. COONS, Mr. PETERS, Mr. 

DURBIN, Ms. DUCKWORTH, Mr. SCHATZ, Mr. CARPER, Mr. CASEY, Mr. 

BOOKER, Mr. KING, Ms. HASSAN, Ms. CORTEZ MASTO, Mr. MARKEY, 

Mr. KELLY, Mr. HELMY, Mr. CARDIN, Ms. STABENOW, Mrs. MURRAY, 

Mr. WARNOCK, Mr. MURPHY, Mr. HEINRICH, and Mr. PADILLA) introduced the following bill; which was read twice and referred to the Committee on Finance 

A BILL 

To amend the Internal Revenue Code of 1986 to expand 

eligibility for the refundable credit for coverage under 

a qualified health plan. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 

3 SECTION 1. SHORT TITLE. 

4 This Act may be cited as the ‘‘Health Care Afford5 ability Act of 2024’’. 


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•S 5194 IS

1 SEC. 2. INCREASE IN ELIGIBILITY FOR CREDIT. 

2 (a) IN GENERAL.—Subparagraph (A) of section 

3 36B(c)(1) of the Internal Revenue Code of 1986 is amend4 ed by striking ‘‘but does not exceed 400 percent’’. 

5 (b) APPLICABLE PERCENTAGES.— 

6 (1) IN GENERAL.—Subparagraph (A) of section 

7 36B(b)(3) of the Internal Revenue Code of 1986 is 

8 amended to read as follows: 

9 ‘‘(A) APPLICABLE PERCENTAGE.—The ap10 plicable percentage for any taxable year shall be 

11 the percentage such that the applicable percent12 age for any taxpayer whose household income is 

13 within an income tier specified in the following 

14 table shall increase, on a sliding scale in a lin15 ear manner, from the initial premium percent16 age to the final premium percentage specified in 

17 such table for such income tier: 

‘‘In the case of household income 

(expressed as a percent of poverty line) 

within the following income tier: 

The initial 

premium 

percentage 

is— 

The final 

premium 

percentage 

is— 

Up to 150 percent .................................................. 0 0

150 percent up to 200 percent ............................... 0 2.0

200 percent up to 250 percent ............................... 2.0 4.0

250 percent up to 300 percent ............................... 4.0 6.0

300 percent up to 400 percent ............................... 6.0 8.5

400 percent and higher .......................................... 8.5 8.5.’’. 

18 (2) CONFORMING AMENDMENTS RELATING TO

19 AFFORDABILITY OF COVERAGE.— 


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•S 5194 IS

1 (A) Paragraph (1) of section 36B(c) of 

2 such Code is amended by striking subparagraph 

3 (E). 

4 (B) Subparagraph (C) of section 36B(c)(2) 

5 of such Code is amended by striking clause (iv). 

6 (C) Paragraph (4) of section 36B(c) of 

7 such Code is amended by striking subparagraph 

8 (F). 

9 (c) EFFECTIVE DATE.—The amendments made by 

10 this section shall apply to taxable years beginning after 

11 December 31, 2025. 

Æ 


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